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GARY RAY FERNANDEZ M.D.
NPI 1265797021
Family Medicine in Chicago, IL

Active since July 09, 2012PECOS EnrolledAccepts Medicare Assignment
4025 N SHERIDAN RD, CHICAGO, IL 60613(773) 388-1600 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gary Ray Fernandez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY RAY FERNANDEZ M.D. (NPI 1265797021) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036.138490) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2011).

NPPES Registry Identity

NPI1265797021
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGARY RAY FERNANDEZCredential: M.D.
Location Address4025 N SHERIDAN RDChicago, IL 60613-2010
Mailing Address4025 N Sheridan RdChicago, IL 60613-2010 · (773) 388-1600
Phone(773) 388-1600
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2011
Enumeration DateJuly 9, 2012
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1265797021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036.138490✔ Licensed in IL · 125-062008
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4025 N SHERIDAN RD, Chicago, IL 60613
Open in Google Maps ↗

Secondary Practice Location 1

Location 1711 W North AveChicago, IL 60610-1174 · Phone (312) 337-1982

Other Identifiers 1

Medicaid036.138490IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gary Ray Fernandez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890095004
PECOS Enrollment IDI20151119001617
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gary Ray Fernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Howard Brown Health Center
Same address
Federally Qualified Health Center (FQHC)
4025 N SHERIDAN RD
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 143 clinicians in this Medicare group
NPI 1306048632 (773) 388-1600
Physicians Immediate Care North Chicago LLC
4.8 mi
Urgent Care
4211 N CICERO AVE, SUITE 100
Chicago, IL 60641
  • Reassigned Medicare billing, Illinois enrollment
  • 366 clinicians in this Medicare group
NPI 1205814118 (815) 713-2738

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMER KEE APRN
Nurse Practitioner (Psychiatric/Mental Health)
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-1800
KUNAL BAKSHI M.D.
Family Medicine
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-1800
ARMAND R CERBONE PH.D.
Psychologist
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-1600
AMAYA BRIANN BLUE-FARRELL
Physician Assistant
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-1600
DR. MICHELLE EMERICK PSY.D.
Psychologist (Clinical)
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-8903
DR. KATHYA M CHARTRE M.D.
Family Medicine
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-1600
MS. JESSICA FAYE HORWITZ FNP
Nurse Practitioner (Family)
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (312) 731-5981
HOWARD BROWN HEALTH CENTER
Psychologist (Clinical)
4025 N SHERIDAN RD
CHICAGO, IL 60613
Cook County (773) 388-8909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Ray Fernandez's NPI number?

The NPI number for Gary Ray Fernandez is 1265797021. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Gary Ray Fernandez located?

Gary Ray Fernandez practices at 4025 N Sheridan Rd, Chicago, IL 60613. The listed phone number is (773) 388-1600.

What is Gary Ray Fernandez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gary Ray Fernandez enrolled in Medicare?

Yes. Gary Ray Fernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gary Ray Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Ray Fernandez reassigns Medicare benefits to 2 organizations: Howard Brown Health Center (Chicago, IL) and Physicians Immediate Care North Chicago LLC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Ray Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Ray Fernandez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Gary Ray Fernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary Ray Fernandez was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.